Publication:
Availability and Pricing of Essential Medicines in Myanmar: Influencing Factors and Recent Trends

Loading...
Thumbnail Image
Files in English
English PDF (3.86 MB)
157 downloads
English Text (242.92 KB)
14 downloads
Date
2024-04-08
ISSN
Published
2024-04-08
Author(s)
Editor(s)
Abstract
This report on the Availability and Pricing of Essential Medicines in Myanmar relies on multiple assessments (2021 - 2023) conducted jointly by the World Bank and World Health Organization as well as other publicly available information. This report provides an overview of findings from a mixed-method study to assess the impact of the COVID-19 pandemic and political instability on Myanmar’s healthcare system, focusing on the availability of essential medicines. This study combines quantitative data collection from retail pharmacies and qualitative interviews with key stakeholders in the pharmaceutical industry of the private sector. The study further explored the coping mechanisms households and healthcare providers employ to address the rising prices of essential medicines. Many individuals with chronic conditions reported reducing or skipping medication intake due to financial constraints. Healthcare providers adjusted their prescription choices, often opting for more affordable brands, to mitigate the impact on patients. However, these coping mechanisms were insufficient to alleviate the negative consequences of rising medicine prices. Based on the findings, this study emphasizes the urgent need to address the root causes of rising medicine prices in order to ensure the availability and affordability of essential medicines for all individuals in Myanmar. By gaining a comprehensive understanding of the prevailing issues, targeted interventions and programs can be designed to safeguard the health and wellbeing of Myanmar’s population.
Link to Data Set
Citation
World Bank. 2024. Availability and Pricing of Essential Medicines in Myanmar: Influencing Factors and Recent Trends. © World Bank. http://hdl.handle.net/10986/41389 License: CC BY-NC 3.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections

Related items

Showing items related by metadata.

  • Publication
    A Generic Drug Policy as Cornerstone to Essential Medicines in China
    (Washington, DC, 2010-06) World Bank
    Compared with developed economies, health expenditure in China is not particularly high on a per capita basis or as a share of Gross Domestic Product (GDP). Similarly, pharmaceutical expenditure in comparative perspective is not particularly high on a per capita basis or as a percentage of GDP. China's exceptionally high rate of pharmaceutical expenditure has important implications for the future of a health care system that not only serves a rapidly aging population, but encourages overuse of drugs in ways that are both financially and medically inefficient. Pharmaceutical reform is therefore a high priority for China's health policymakers. Several factors are discussed for reforming this system based on lessons from recent reforms. The section following this introduction briefly reviews the expansion of basic medical insurance coverage in the 2000s and several structural features of the pharmaceutical sector in China. The related concepts of an essential medicines policy, an essential drug list, and a generic drug policy are briefly described in first section. The second section of the paper looks at several hurdles that are built into the path of essential medicines reform. The third section considers some lessons for pharmaceutical reform based on China's recent learning from regional experimentation and piloting initiatives. The fourth section considers several relevant lessons derived from reform experiences in other countries. The fifth section looks at the path forward-success factors for implementing an essential medicines program based on low-cost generic drugs.
  • Publication
    Realigning the Union Budget to Myanmar’s Development Priorities
    (World Bank, Washington, DC, 2015-09) World Bank
    Union Budget policies in Myanmar have undergone fundamental shifts since 2011 to accelerate delivery of essential public services. This first ever Public Expenditure Review (PER) for Myanmar tries to better understand these shifts and recommend ways to further align budget policies to development priorities. The Myanmar PER 2015 is divided into five parts: (i) sustainability of aggregate fiscal policy; (ii) rebalancing the composition of the Union Budget; (iii) improving coverage, quality and equity of education services; (iv) going from more to better government spending on health; and (v) a sound fiscal framework for sub-national service delivery. The book is arranged as follws: (i) chapter one starts with introduction; (ii) chapter two deals with sustainability of aggregate fiscal policy; (iii) chapter three focuses on rebalancing the composition of the union budget; (iv) chapter four deals with improving the coverage, quality and equity of education; (v) chapter five suggests from more to better government spending on health; and (vi) chapter six talks about fiscal framework for sub-national service delivery.
  • Publication
    Analysis of Access to Essential Health Services in Myanmar 2021-2023
    (Washington, DC: World Bank, 2024-04-08) World Bank
    This report provides an analysis of access to essential health services in Myanmar from 2021 to 2023, based on publicly available sources of information as well as multiple assessments conducted jointly by the World Bank and World Health Organization during this timeframe. Myanmar faces a multitude of healthcare service delivery and access challenges, which impact the health status of the population and the country’s human capital. The COVID-19 pandemic and political situation since February 2021 have compounded these challenges. Within this context, increasing vulnerability to communicable diseases, such as tuberculosis and malaria, exacerbate the health risks faced by the population, while a growing burden of non-communicable diseases (NCDs) result in immediate health concerns with long-term implications for productivity.
  • Publication
    Assuring the Quality of Essential Medicines Procured with Donor Funds
    (World Bank, Washington, DC, 2012-04) Moore, Thomas; Lee, David; Konduri, Niranjan; Kasonde, Lombe
    The donor community spends millions of dollars annually on procuring essential medicines as part of development assistance for health. Defining and enforcing quality standards for these medicines continues to prove challenging as this involves complex regulatory processes. While developed countries with stringent regulatory authorities in place have the capacity to comply with strict regulatory requirements, the essential medicines procured for developing countries are either not available in developed country markets, or are not the most competitively priced medicines internationally. Donors have therefore been forced to independently develop systems to purchase at lowest feasible cost, essential medicines for the developing world without compromising quality. Through a desk review and consultation with key stakeholders, this paper compiles data on various approaches used by international agencies and donor bodies to improve the quality of essential medicines they procure, beyond the World Health Organization (WHO) prequalification of medicines program and the global fund expert review panel, which focus only on medicines for treating HIV/AIDS, tuberculosis, and malaria. This paper additionally explores pragmatic options for a harmonized approach to ensuring the quality of medicines procured with donor funds. Based on the observed limitations of existing approaches, this paper considers a risk-based approach initiated by WHO, through which medicines in the WHO model list of essential medicines are classified according to risk categories (high, medium, and low). In the long run, the goal of international donor aid is to build the capacity of developing countries to take the lead in assuring the health of their citizens. Effective harmonization, coordination, and optimal leveraging of existing approaches may help national regulatory authorities to strengthen their own capacity to better control their markets, including registering products according to stringent standards, improving domestic manufacturing where applicable, and enhancing post-marketing surveillance.
  • Publication
    Strategic Planning for Poverty Reduction in Vietnam : Progress and Challenges for Meeting the Localized Millennium Development Goals
    (World Bank, Washington, DC, 2003-01) Swinkels, Rob; Turk, Carrie
    This paper discusses the progress that Vietnam has made toward meeting a core set of development goals that the government recently adopted as part of its Comprehensive Poverty Reduction and Growth Strategy (CPRGS). These goals are strongly related to the Millennium Development Goals (MDGs), but are adapted and expanded to reflect Vietnam's national challenges and the government's ambitious development plans. For each Vietnam Development Goal, the authors describe recent trends in relation to the trajectories implied by the MDGs, outline the intermediate targets identified by the government, and discuss the challenges involved in meeting these. Relative to other countries of similar per capita expenditures, Vietnam has made rapid progress in a number of key areas. Poverty has halved over the 1990s, enrollment rates in primary education have risen to 91 percent (although there is a quality problem), indicators of gender equity have been strengthened, child mortality has been reduced, maternal health has improved, and real progress has been made in combating malaria and other communicable diseases. In contrast, Vietnam scores worse than other comparable countries in the areas of child malnutrition, access to clean water, and combating HIV/AIDS. A number of important crosscutting issues emerge from this analysis that need to be addressed. One such challenge is improving equity, both in terms of ensuring that the benefits of growth are distributed evenly across the population and in terms of access to public services. This will involve addressing the affordability of education and curative health care for poor households. Improvements in public expenditure planning are needed to align resources better to stated desired outcomes and to link nationally-defined targets to subnational planning and budgeting processes. There is also a need to address capacity and data gaps which will be crucial for effective monitoring.

Users also downloaded

Showing related downloaded files

  • Publication
    Brazil Country Climate and Development Report
    (World Bank Group, Washington DC, 2023-05-04) World Bank Group
    Brazil is highly exposed to climate change risks. The impacts of global climate change risks and local practices on the Amazon and Cerrado biomes are of particular concern, as they provide vital ecosystem services to Brazil, the South American region, and the world. The Brazil Country Climate and Development Report (CCDR) examines the implications of climate change and climate action for Brazil's development objectives and priorities. It identifies opportunities for Brazil to achieve both its development goals and its climate commitments. It lays out a combination of sectoral and economy-wide policy reforms, as well as targeted investments in near- and medium-term mitigation and adaptation measures to achieve more rapid and inclusive development with lower greenhouse gas (GHG) emissions. The idea is to maximize synergies between climate and development objectives, while addressing trade-offs among policy objectives and key transition challenges.
  • Publication
    Learning from Self and Learning from Others
    (World Bank, Washington, DC, 2023-08-16) Kondylis, Florence; Loeser, John Ashton; Mobarak, Mushfiq; Jones, Maria Ruth; Stein, Daniel
    Can decentralizing demonstration accelerate learning about new technologies This paper randomizes access to a fixed demonstration kit for new flood-saline-resilient seeds across villages in Bangladesh, with demonstration either by a single farmer or spread across many farmers. In the short run, higher learning from self and others under decentralization increases technology adoption. In the long run, the impacts of any demonstration persist, but the additional impacts of decentralization vanish. A Bayesian model of learning the returns to a new technology suggests belief dispersion caused noisy adoption along the learning path, and farmers’ expected gains from demonstration are four times higher under decentralization.
  • Publication
    Strengthening Regional Water Security for Greater Resilience in the G5 Sahel
    (World Bank, Washington, DC, 2021-07-12) World Bank
    The World Bank’s historical engagement in transboundary water in West Africa is at a turning point, at a time when the G5 Sahel region faces unprecedented challenges. Therefore, it is time for the World Bank to broaden its water sector approach in the G5 Sahel and shift its focus to establishing a regional water security framework. The dual objectives of this report on the G5 Sahel region are to: (i) do a high-level analysis of water security challenges and their impacts on regional socio-economic development and stability, and (ii) suggest directions for future World Bank engagement on regional water security. The focus of this note is more exclusively on regional water challenges and local challenges with cross-border or even regional spillover effects. The report takes a development-driven approach to: (i) identify some of the ways in which water security affects socio-economic development in the G5 Sahel, (ii) explore the linkages between water security, resilience and conflict prevention, and (iii) present a set of guiding principles for the next regional engagements on water security in the region, both in terms of types of investment and implementation modalities. This report will also serve as a basis for deepening the dialogue with counterparts in the next fiscal year.
  • Publication
    Cash in the City
    (World Bank, Washington, DC, 2021-01) Khosla, Saksham; Gentilini, Ugo; Almenfi, Mohamed
    Poverty and crises are rapidly “urbanizing†. Yet experience with operationalizing cash transfers in urban areas is limited. This paper captures early lessons from a new generation of urban cash transfer responses to Covid-19 in eleven African countries. The analysis contextualizes such initiatives within a longer-term trajectory of urban social protection programs from the early 2000s. A range of lessons emerge around design and implementation, partnerships, institutions and political economy, strategic issues, and evidence and learning.
  • Publication
    Benin Country Climate and Development Report
    (Washington, DC: World Bank, 2023-12-05) World Bank Group
    This Country Climate and Development Report (CCDR) proposes that Benin focuses on building a resilient economy, with investment and policy options primarily targeted at adapting to climate change risks. The dependence of Benin’s economic structure on agriculture and informal employment makes its development path highly vulnerable to climate change in the absence of proper adaptation. The government and the private sector need to be better prepared to deal with climate change – building adequate institutions and governance structures will be crucial. While all sectors will have to become more resilient, this is especially urgent for agriculture and land use, urban and network infrastructure, and human development (education, health). Mitigation efforts should focus on avoiding carbon lock-ins and reducing deforestation. Investing in renewable energy whilst expanding the population’s access to electricity should be a priority for Benin. A higher share of renewable energy can bring about co-benefits for other sectors (agriculture, water, transport, and forestry). To maintain its growth trajectory, Benin needs to pay special attention to its most vulnerable people, including women. To protect the poor and vulnerable the just transition should focus on reconciling development and climate goals while addressing inequality (income and gender related), and spatial exclusion.